- Brown sausage in large skillet over med-high heat adding seasonings (onions, garlic, salt, pepper & granulated garlic) as you cook 
- Once brown -transfer to crock pot 
- Add crushed tomatoes, chicken stock 
- Add additional seasonings to taste. 
- Cook on low 3-4 hours 
- About 15 minutes before you are ready to enjoy this soup - In a stockpot cook your macaroni to package directions & drain 
- Slowly add in half & half & evaporated milk to soup - stir well 
- Add in Parmesan cheese & cooked macaroni 
- Stir until cheese has melted & blended into the soup. 
- Serve with a little more cheese on top